Comparing effectiveness of mass media campaigns with price reductions targeting fruit and vegetable intake on US cardiovascular disease mortality and race disparities

No one seems to want to go after any of the BHAGs(Big Hairy Audacious Goals)  problems in stroke. Just these lazy possible prevention ideas that require no brainpower at all.
https://www.mdlinx.com/internal-medicine/medical-news-article/2017/06/01/cardiovascular-disease-disparities-food-policy-nutrition/7194904/?

American Journal of Clinical Nutrition

PearsonStuttard J, et al. –

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In this study, researchers assessed cardiovascular disease (CVD) mortality reductions potentially achievable by price reductions and mass media campaign (MMC) interventions focusing on F&V consumption in the US population. Both national MMCs and price–reduction policies could decrease US CVD mortality, with price reduction being more powerful and sustainable.

Methods

• For this study, they developed a US IMPACT Food Policy Model.
• By using US IMPACT Food Policy Model they compare 3 policies targeting F&V intake across US adults from 2015 to 2030.
• National MMCs and national F&V price reductions of 10% and 30%.
• They accounted for differences in baseline diets, CVD rates, MMC coverage, MMC duration, and declining impacts over time.
• Outcomes included cumulative CVD (coronary heart disease and stroke) deaths prevented or postponed and life–years gained (LYGs) over the study period, stratified by age, sex, and race.

Results

• In this study, a 1–y MMC in 2015 would increase the average national F&V intake by 7% for 1 y and prevent ∼18,600 CVD deaths (95% CI: 17,600, 19,500), gaining ∼280,100 LYGs by 2030.
• With a 15–y MMC, increased F&V intake would be sustained, yielding a 3–fold larger reduction (56,100; 95% CI: 52,400, 57,700) in CVD deaths.
• In comparison, a 10% decrease in F&V prices would increase F&V intake by ∼14%.
• This would prevent ∼153,300 deaths (95% CI: 146,400, 159,200), gaining ∼2.51 million LYGs.
• For a 30% price decrease, resulting in a 42% increase in F&V intake, corresponding values would be 451,900 CVD deaths prevented or postponed (95% CI: 433,100, 467,500) and 7.3 million LYGs gained.
• Impacts were similar by sex, with a smaller proportional impact and larger absolute impacts at older ages.
• A 1–y MMC would be 35% less effective in preventing CVD deaths in non–Hispanic blacks than in whites.
• In comparison, price–reduction policies would have equitable proportional impacts.